Vaginal delivery after cesarean section

N. P. Veridiano, N. S. Thorner, J. Ducey

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

We retrospectively analyzed 194 pregnancies in women with a history of previous cesarean section (CS) who were offered a trial of labor. We offered every woman a trial of labor as long as she did not have a known previous classical scar. One hundred fifty-one women delivered vaginally (79%), 24 women had multiple uterine scars. Multiple gestations and breech presentation were not considered a sole indication to perform CS. Fetal and maternal morbidity are presented. We conclude that women with multiple previous CS scars can safely deliver vaginally as can women with unknown uterine scars, with careful intrapartum surveillance. Although our numbers of women with breech presentation and multiple gestations are small, in the absence of significant morbidity, we continue to allow these women to labor and deliver vaginally.

Original languageEnglish
Pages (from-to)307-311
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume29
Issue number4
DOIs
StatePublished - Aug 1989
Externally publishedYes

Keywords

  • Previous cesarean section
  • Trial of labor

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